Individual provider Active NPI

Trisha Juliano Kammann, M.D.

  • Urology Physician
  • Bristol, TN
National Provider Identifier
1699091546
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
17219 Issued in NH
Practice address
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone
(423) 844-1211
NPI assigned
Apr 18, 2010
Last updated
Mar 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 17219 NH Primary
Urology Physician 208800000X 35.149712 OH
Urology Physician 208800000X 70197 TN

Addresses

Primary practice location

1 Medical Park Blvd
Bristol, TN 37620-7430

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565

Other practice location 1

5 Washington Pl
Bedford, NH 03110-6736
Phone (603) 695-8222

Other practice location 2

4 Elliot Way
Suite 200
Manchester, NH 03103-3547
Phone (603) 669-9200

Other practice location 3

14 Tsienneto Rd
Derry, NH 03038-1647
Phone (603) 669-9200

Other practice location 4

2204 Pavilion Dr Ste 310
Kingsport, TN 37660-4653
Phone (423) 246-4155

Other practice location 5

400 N State Of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111

Other practice location 6

272 Hospital Rd Ste 260
Chillicothe, OH 45601-9031
Phone (740) 779-4370

Other identifiers 1

IdentifierTypeStateIssuer
3101890MedicaidNH

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address tkammann47427@direct.solutionhealth.org
Direct Messaging Address tkammann47427@direct.solutionhealth.org
Direct Messaging Address tkammann47427@direct.solutionhealth.org
Direct Messaging Address tkammann47427@direct.solutionhealth.org
Direct Messaging Address adena.urology@adena.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, TN, OH3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150929001183 NH Practitioner - Urology 3678881422 Reassigns benefits to 1 organization
I20240229004206 TN Practitioner - Urology 3678881422 Reassigns benefits to 1 organization
I20240501001356 OH Practitioner - Urology 3678881422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Specialty Physicians CorporationGroup PAC ID 3476643479, 67 clinicians
Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians

Practice addresses (Care Compare)

2600 Tuscarawas St W
Suite 400
Canton, OH 44708-4698
Phone (330) 458-2000

272 Hospital Rd
Suite 260
Chillicothe, OH 45601-9031
Phone (740) 779-4370

400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 224-3220

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17219NHMDUrology Physician
35.149712OHMDUrology Physician
70197TNMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adena Medical Group LLC Urology CurrentSince Mar 10, 2025 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Feb 19, 2024 Accepting new patients
Ohio Specialty Physicians Corporation CurrentSince Mar 4, 2024 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Oct 1, 2019 Accepting new patients
Wellmont Health System Current Accepting new patients
Wellmont Medical Associates Inc CurrentSince Feb 19, 2024 Accepting new patients
Ohio Specialty Physicians Corporation CurrentSince Mar 4, 2024 Accepting new patients

Locations

5 Washington Pl
Bedford, NH 03110
Phone (603) 314-4567

14 Tsienneto Rd
Derry, NH 03038
Phone (603) 425-6966

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

452 Old Street Rd
Peterborough, NH 03458
Phone (603) 924-4699

2600 Tuscarawas St W
Ste 400
Canton, OH 44708
Phone (330) 458-2000

2600 Tuscarawas St W
Ste 520
Canton, OH 44708
Phone (330) 454-0702

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

272 Hospital Rd
Ste 260
Chillicothe, OH 45601
Phone (740) 779-4370

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

2204 Pavilion Dr
Ste 310
Kingsport, TN 37660
Phone (423) 224-3900

Interoperability endpoints

  • Direct secure messaging: tkammann1537183@direct.osumc.edu
  • Direct secure messaging: tkammann423939@balladhealth.medalliesdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1699091546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-302-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK BLVD",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376207430",
            "telephone_number": "423-844-1211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Washington Pl",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "NH",
            "postal_code": "031106736",
            "country_code": "US",
            "telephone_number": "603-695-8222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Elliot Way",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031033547",
            "country_code": "US",
            "telephone_number": "603-669-9200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 Tsienneto Rd",
            "address_purpose": "LOCATION",
            "city": "Derry",
            "state": "NH",
            "postal_code": "030381647",
            "country_code": "US",
            "telephone_number": "603-669-9200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2204 Pavilion Dr Ste 310",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604653",
            "country_code": "US",
            "telephone_number": "423-246-4155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N State Of Franklin Rd",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376046035",
            "country_code": "US",
            "telephone_number": "423-431-6111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "272 Hospital Rd Ste 260",
            "address_purpose": "LOCATION",
            "city": "Chillicothe",
            "state": "OH",
            "postal_code": "456019031",
            "country_code": "US",
            "telephone_number": "740-779-4370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMMANN",
        "first_name": "TRISHA",
        "middle_name": "JULIANO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-18",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NH",
            "license": "17219",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35.149712",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "70197",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3101890",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tkammann47427@direct.solutionhealth.org",
            "affiliation": "N",
            "address_1": "4 Elliot Way",
            "address_2": "Suite 200",
            "city": "Manchester",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031033547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tkammann47427@direct.solutionhealth.org",
            "affiliation": "N",
            "address_1": "14 Tsienneto Rd",
            "city": "Derry",
            "state": "NH",
            "country_code": "US",
            "postal_code": "030381647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tkammann47427@direct.solutionhealth.org",
            "affiliation": "N",
            "address_1": "452 Old Street Rd",
            "city": "Peterborough",
            "state": "NH",
            "country_code": "US",
            "postal_code": "034581263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tkammann47427@direct.solutionhealth.org",
            "affiliation": "N",
            "address_1": "17 Riverside St",
            "city": "Nashua",
            "state": "NH",
            "country_code": "US",
            "postal_code": "030621304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.urology@adena.medicity.net",
            "affiliation": "N",
            "address_1": "272 Hospital Rd Ste 260",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456019031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

Verify at the official NPI Registry.